Managing Director, Strategic Initiatives, Transformation & PMO

Date Posted: 2026-09-03 Country: United States of America Location: Florida

• Remote

Why Join Fcs

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

A Little Bit About Fcs

Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval. Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients. Come join us today! Summary: The Managing Director, Strategic Initiatives, Transformation & PMO serves as an enterprise execution partner to the Chief Executive Officer and Executive Leadership Team (ELT), responsible for translating approved strategic priorities into coordinated enterprise execution. The role leads the Enterprise Transformation Office (ETO) and Program Management Office (PMO), overseeing portfolio governance, prioritization, organizational transformation, executive governance processes, enterprise change management standards, and strategic initiative execution. The position ensures enterprise initiatives are appropriately governed, resourced, sequenced, monitored, and aligned to organizational priorities while supporting successful implementation and benefit realization. The role partners with business leaders, functional teams, Business Development, diligence teams, a separate integration team, and operational stakeholders to coordinate execution, manage dependencies, monitor risks, support organizational readiness, and facilitate successful implementation from planning through stabilization. The position operates with a high degree of independence, discretion, and influence and achieves results primarily through collaboration, facilitation, governance, accountability, and executive stakeholder management rather than direct organizational authority. Business leaders retain ownership of operational decisions, business outcomes, and benefit realization; this role owns governance, visibility, coordination, accountability processes, escalation, and execution support.

Primary Tasks and

RESPONSIBILITIES:

Enterprise Transformation

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Portfolio Governance

• Lead the Enterprise Transformation Office (ETO) and Program Management Office (PMO), establishing governance processes, methodologies, tools, reporting standards, and execution disciplines across the organization.
• Own governance of the enterprise portfolio of approved strategic initiatives, ensuring alignment with organizational priorities, available capacity, resource constraints, dependencies, and timelines.
• Facilitate enterprise prioritization processes and support annual and ongoing strategic planning activities by coordinating inputs, documenting decisions, translating priorities into implementation plans, and monitoring execution.
• Develop enterprise portfolio dashboards, executive reports, scorecards, and performance metrics to provide visibility into initiative status, risks, dependencies, milestones, and outcomes.
• Establish and enforce governance standards requiring defined business ownership, milestones, resource plans, risk assessments, dependency management, success metrics, and recovery actions for major initiatives.
• Monitor initiative progress and benefit-realization plans while ensuring accountable business leaders retain ownership of operational decisions, business outcomes, and realized benefits.

Strategic Initiative Execution

• Support execution of approved strategic priorities through stakeholder alignment, initiative coordination, dependency management, readiness planning, issue resolution, and progress monitoring.
• Directly manage select CEO-sponsored strategic initiatives while coordinating execution support for broader enterprise initiatives led by accountable business owners.
• Facilitate cross-functional collaboration across operational, clinical, administrative, and technology teams to advance approved organizational priorities.
• Identify execution barriers, resource constraints, competing priorities, and implementation risks, and work with business leaders to develop mitigation and recovery plans.
• Challenge insufficient plans and elevate unresolved risks, resource constraints, or missed commitments to the CEO and ELT while preserving business-leader accountability for outcomes.

Executive Governance

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Leadership Cadence

• Coordinate executive governance processes, leadership operating cadences, decision tracking, accountability reviews, and enterprise follow-through mechanisms in partnership with the CEO, ELT, and business leaders.
• Support agenda development, content preparation, meeting coordination, action management, and follow-through for ELT, Leadership Team, Extended Leadership Team, and other executive governance forums.
• Ensure executive decisions are clearly documented, communicated, assigned, tracked, and monitored through completion.
• Provide executive leadership with transparent updates regarding initiative status, organizational risks, execution challenges, and enterprise dependencies.

Board Governance

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Executive Reporting

• Coordinate board governance activities, executive reporting processes, and board material preparation in partnership with the CEO, executive leadership, legal counsel, and functional leaders.
• Contribute to the development of board presentations, executive summaries, implementation updates, and strategic initiative reporting.
• Maintain rigorous standards for quality, consistency, version control, confidentiality, and timeliness of executive and board materials. TRANSFORMATION, INTEGRATION &

Organizational Readiness

• Coordinate governance, milestone oversight, dependency management, and readiness activities supporting strategic affiliations, partnerships, technology implementations, organizational transformations, and other enterprise initiatives.
• Serve as the program-management bridge among Business Development, functional diligence teams, the separate integration team, and operational leaders to support the transition from Business Development through diligence and execution toward go-live.
• Support the integration team through implementation, go-live readiness, stabilization, and benefit-realization governance without assuming transaction leadership, functional diligence ownership, or day-to-day integration ownership.
• Monitor organizational readiness and implementation preparedness across impacted departments and stakeholders.
• Support post-implementation stabilization and ensure lessons learned are captured and applied to future initiatives.

Change Management

& ADOPTION

• Establish and maintain enterprise change-management standards, methodologies, f